Analisis Pelaksanaan Komunikasi Efektif SBAR Perawat dan Dokter
Abstract
The aim of this research is to map research results related to the implementation of effective SBAR communication between nurses and doctors. The research method used, namely Scoping Review, was used to map the literature using PRISMA guidelines. The synthesis method uses PCC modification. Articles obtained from the Google Scholar search engine as well as the electronic databases PubMed and ScienceDirect. Search results, from 87 relevant articles with titles and abstracts, 6 articles were found that met the inclusion and exclusion criteria. The research results found that the analysis of the implementation of effective SBAR communication between nurses and doctors contained seven themes, namely patient safety and satisfaction, lack of self-confidence, environment, lack of interpersonal communication, lack of training, and work safety climate. In conclusion, effective communication and collaboration between doctors and nurses is very necessary in managing and limiting disturbances that can endanger patient safety and the continuity of safe care for at-risk patients.
Keywords: Implementation Analysis, Effective Communication, SBAR
References
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Bardah, D., Afriani, T., & Yatnikasari, A. (2021). Analisis Fishbone dalam Meningkatkan Efektifitas Pelaksanaan Handover di Rumah Sakit Pemerintah. Jurnal Kepemimpinan dan Manajemen Keperawatan, 4(1). https://doi.org/10.32584/jkmk.v4i1.917
Beament, T., Ewens, B., Wilcox, S., & Reid, G. (2018). A cCollaborative Approach to the Implementation of A Structured Clinical Handover Tool (Isobar), Within A Hospital Setting in Metropolitan Western Australian: A Mixed Methods Study. Nurse Education in Practice, 33, 107–113. https://doi.org/10.1016/j.nepr.2018.08.019
Chen, Y., Chen, H.-Y., & Jong, G.-P. (2022). Situation-Background-Assessment-Recommendation Technique Improves Nurse–Physician Communication and Patient Satisfaction in Cataract Surgeries. Saudi Journal of Medicine and Medical Sciences, 10(2), 146. https://doi.org/10.4103/sjmms.sjmms_602_21
Christina, L. V., & Susilo, A. P. (2021). Penggunaan Metode SBAR untuk Komunikasi Efektif antara Tenaga Kesehatan dalam Konteks Klinis. KELUWIH: Jurnal Kesehatan dan Kedokteran, 3(1), 57–63. https://doi.org/10.24123/kesdok.V3i1.4584
Chua, W. L., Tee, A., Hassan, N. B., Jones, D., Tam, W. W. S., & Liaw, S. Y. (2021). The Development and Psychometric Evaluation of the Clinicians’ Attitudes Towards Responding and Escalating Care of Deteriorating Patients Scale. Australian Critical Care, 34(4), 340–349. https://doi.org/10.1016/j.aucc.2020.08.008
Dalky, H. F., Al-Jaradeen, R. S., & AbuAlRrub, R. F. (2020). Evaluation of the Situation, Background, Assessment, and Recommendation Handover Tool in Improving Communication and Satisfaction Among Jordanian Nurses Working in Intensive Care Units. Dimensions of Critical Care Nursing, 39(6), 339–347. https://doi.org/10.1097/DCC.0000000000000441
Davis, B. P., Mitchell, S. A., Weston, J., Dragon, C., Luthra, M., Kim, J., Stoddard, H., & Ander, D. (2023). Situation, Background, Assessment, Recommendation (SBAR) Education for Health Care Students: Assessment of a Training Program. MedEdPORTAL, 11293. https://doi.org/10.15766/mep_2374-8265.11293
Dawood, S. B. (2021). Effectiveness of the Educational Program Concerning Nurse- Midwives SBAR Tool Communication on Maternal Health Documentation at Maternal wards in Baghdad Maternity Hospitals. Scholars Journal of Applied Medical Sciences, 9(6), 851–903. https://doi.org/10.36347/sjams.2021.v09i06.015
Etemadifar, S., Sedighi, Z., Sedehi, M., & Masoudi, R. (2021). The Effect of Situation, Background, Assessment, Recommendation‑Based Safety Program on Patient Safety Culture in Intensive Care Unit Nurses. Journal of Education and Health Promotion, 10.
Forde, M. F., Coffey, A., & Hegarty, J. (2018). The Factors to be Considered when Evaluating Bedside Handover. Journal of Nursing Management, 26(7), 757–768. https://doi.org/10.1111/jonm.12598
Hadi, M., Ariyanti, T., & Anwar, S. (2020). The Application of The Situation, Background, Assessment, Recommendation (SBAR) Method in Nurse Handover Between Shifts in the Hospital. Indonesian Nursing Journal of Education and Clinic (INJEC), 6(1), 72. https://doi.org/10.24990/injec.v6i1.406
Hapsari, M. K., Rivai, F., Thamrin, Y., Pasinringi, S. A., Irwandy, I., & Hamzah, H. (2022). Analysis of the Implementation of Effective Communication on Interprofessional Collaboration in the Inpatient Installation of Hasanuddin University Hospital. Journal of Asian Multicultural Research for Medical and Health Science Study, 3(1), 23–35. https://doi.org/10.47616/jamrmhss.v3i1.234
Haryono, M. H., Nursalam, N., & Hasinudin, M. (2019). Developing SBAR Effective Communication Instrument in Emergency Handover at Emergency Department of Hajj Hospital in Surabaya. Indian Journal of Public Health Research & Development, 10(10), 688. https://doi.org/10.5958/0976-5506.2019.02893.6
Lane-Fall, M. B., Pascual, J. L., Peifer, H. G., Di Taranti, L. J., Collard, M. L., Jablonski, J., Gutsche, J. T., Halpern, S. D., Barg, F. K., & Fleisher, L. A. (2020). A Partially Structured Postoperative Handoff Protocol Improves Communication in 2 Mixed Surgical Intensive Care Units: Findings From the Handoffs and Transitions in Critical Care (HATRICC) Prospective Cohort Study. Annals of Surgery, 271(3), 484–493. https://doi.org/10.1097/SLA.0000000000003137
Lee, K. R., & Kim, E. J. (2020). Relationship between Interprofessional Communication and Team Task Performance. Clinical Simulation in Nursing, 43, 44–50. https://doi.org/10.1016/j.ecns.2020.02.002
Lippke, S., Wienert, J., Keller, F. M., Derksen, C., Welp, A., Kötting, L., Hofreuter-Gätgens, K., Müller, H., Louwen, F., Weigand, M., Ernst, K., Kraft, K., Reister, F., Polasik, A., Huener nee Seemann, B., Jennewein, L., Scholz, C., & Hannawa, A. (2019). Communication and Patient Safety in Gynecology and Obstetrics—Study Protocol of an Intervention Study. BMC Health Services Research, 19(1), 908. https://doi.org/10.1186/s12913-019-4579-y
Magnezi, R., Gazit, I., Bass, A., & Tal, O. (2021). Developing a New Flexible Tool for Handover. International Journal for Quality in Health Care, 33(1), mzab022. https://doi.org/10.1093/intqhc/mzab022
Malfait, S., Eeckloo, K., Van Biesen, W., & Van Hecke, A. (2019). Barriers and Facilitators for the Use of Nursing Bedside Handovers: Implications for Evidence‐Based Practice. Worldviews on Evidence-Based Nursing, 16(4), 289–298. https://doi.org/10.1111/wvn.12386
Mardiana, S. S., Kristina, T. N., & Sulisno, M. (2019). Penerapan Komunikasi SBAR Untuk Meningkatkan Kemampuan Perawat Dalam Berkomunikasi Dengan Dokter. Jurnal Ilmu Keperawatan dan Kebidanan, 10(2), 273. https://doi.org/10.26751/jikk.v10i2.487
McElroy, T., Swartz, E. N., Hassani, K., Waibel, S., Tuff, Y., Marshall, C., Chan, R., Wensley, D., & O’Donnell, M. (2019). Implementation study of a 5-component pediatric early warning system (PEWS) in an emergency department in British Columbia, Canada, to inform provincial scale up. BMC Emergency Medicine, 19(1), 74. https://doi.org/10.1186/s12873-019-0287-5
Murray, M. (2021). The impact of interprofessional simulation on readiness for interprofessional learning in health professions students. Teaching and Learning in Nursing, 16(3), 199–204. https://doi.org/10.1016/j.teln.2021.03.004
O’Neill, S. M., Clyne, B., Bell, M., Casey, A., Leen, B., Smith, S. M., Ryan, M., & O’Neill, M. (2021). Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. BMC Emergency Medicine, 21(1), 15. https://doi.org/10.1186/s12873-021-00403-9
Pilcher, L., Kurian, M., MacArthur, C., Singh, S., & Manaseki-Holland, S. (2022). Obstetric shift-to-shift handover in Kerala, India: A cross-sectional mixed method study. PLOS ONE, 17(5), e0268239. https://doi.org/10.1371/journal.pone.0268239
Potts, L., Ryan, C., Diegel-Vacek, L., & Murchek, A. (2018). Improving Patient Flow From the Emergency Department Utilizing a Standardized Electronic Nursing Handoff Process. JONA: The Journal of Nursing Administration, 48(9), 432–436. https://doi.org/10.1097/NNA.0000000000000645
Rickard, F., Lu, F., Gustafsson, L., MacArthur, C., Cummins, C., Coker, I., Wilson, A., Mane, K., Manneh, K., & Manaseki-Holland, S. (2022). Clinical handover communication at maternity shift changes and women’s safety in Banjul, the Gambia: A mixed-methods study. BMC Pregnancy and Childbirth, 22(1), 784. https://doi.org/10.1186/s12884-022-05052-9
Sembiring, M. C., Lestari Ramadhani Nasution, S., & Girsang, E. (2022). The Effect Of Sbar Communication On Nurse Attitude In Increasing Patient Safety In Krmt Wongsonegoro Hospital, Semarang. International Journal of Health and Pharmaceutical (IJHP), 2(4), 680–683. https://doi.org/10.51601/ijhp.v2i4.91
Shahid, S., & Thomas, S. (2018). Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review. Safety in Health, 4(1), 7. https://doi.org/10.1186/s40886-018-0073-1
Sharp, L., Dahlén, C., & Bergenmar, M. (2019). Observations of nursing staff compliance to a checklist for person‐centred handovers – a quality improvement project. Scandinavian Journal of Caring Sciences, 33(4), 892–901. https://doi.org/10.1111/scs.12686
Uhm, J.-Y., Lim, E. Y., & Hyeong, J. (2018). The impact of a standardized inter-department handover on nurses’ perceptions and performance in Republic of Korea. Journal of Nursing Management, 26(8), 933–944. https://doi.org/10.1111/jonm.12608
Usher, R., Cronin, S. N., & York, N. L. (2018). Evaluating the Influence of a Standardized Bedside Handoff Process in a Medical–Surgical Unit. The Journal of Continuing Education in Nursing, 49(4), 157–163. https://doi.org/10.3928/00220124-20180320-05
Wang, L., Ma, Y.-J., Chen, X.-T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10, 1029573. https://doi.org/10.3389/fpubh.2022.1029573
Wang, X., He, M., & Feng, Y. (2021). Handover Patterns in the PACU: A Review of the Literature. Journal of PeriAnesthesia Nursing, 36(2), 136–141. https://doi.org/10.1016/j.jopan.2020.05.005
Yeh, V. J.-H., Sherwood, G., Durham, C. F., Kardong-Edgren, S., Schwartz, T. A., & Beeber, L. S. (2019). Designing and implementing asynchronous online deliberate practice to develop interprofessional communication competency. Nurse Education in Practice, 35, 21–26. https://doi.org/10.1016/j.nepr.2018.12.011
Alhmoud, B., Melley, D., Khan, N., Bonicci, T., Patel, R., & Banerjee, A. (2022). Evaluating a Novel, Integrative Dashboard for Health Professionals’ Performance in Managing Deteriorating Patients: A quality improvement project. BMJ Open Quality, 11(4), e002033. https://doi.org/10.1136/bmjoq-2022-002033
Bardah, D., Afriani, T., & Yatnikasari, A. (2021). Analisis Fishbone dalam Meningkatkan Efektifitas Pelaksanaan Handover di Rumah Sakit Pemerintah. Jurnal Kepemimpinan dan Manajemen Keperawatan, 4(1). https://doi.org/10.32584/jkmk.v4i1.917
Beament, T., Ewens, B., Wilcox, S., & Reid, G. (2018). A cCollaborative Approach to the Implementation of A Structured Clinical Handover Tool (Isobar), Within A Hospital Setting in Metropolitan Western Australian: A Mixed Methods Study. Nurse Education in Practice, 33, 107–113. https://doi.org/10.1016/j.nepr.2018.08.019
Chen, Y., Chen, H.-Y., & Jong, G.-P. (2022). Situation-Background-Assessment-Recommendation Technique Improves Nurse–Physician Communication and Patient Satisfaction in Cataract Surgeries. Saudi Journal of Medicine and Medical Sciences, 10(2), 146. https://doi.org/10.4103/sjmms.sjmms_602_21
Christina, L. V., & Susilo, A. P. (2021). Penggunaan Metode SBAR untuk Komunikasi Efektif antara Tenaga Kesehatan dalam Konteks Klinis. KELUWIH: Jurnal Kesehatan dan Kedokteran, 3(1), 57–63. https://doi.org/10.24123/kesdok.V3i1.4584
Chua, W. L., Tee, A., Hassan, N. B., Jones, D., Tam, W. W. S., & Liaw, S. Y. (2021). The Development and Psychometric Evaluation of the Clinicians’ Attitudes Towards Responding and Escalating Care of Deteriorating Patients Scale. Australian Critical Care, 34(4), 340–349. https://doi.org/10.1016/j.aucc.2020.08.008
Dalky, H. F., Al-Jaradeen, R. S., & AbuAlRrub, R. F. (2020). Evaluation of the Situation, Background, Assessment, and Recommendation Handover Tool in Improving Communication and Satisfaction Among Jordanian Nurses Working in Intensive Care Units. Dimensions of Critical Care Nursing, 39(6), 339–347. https://doi.org/10.1097/DCC.0000000000000441
Davis, B. P., Mitchell, S. A., Weston, J., Dragon, C., Luthra, M., Kim, J., Stoddard, H., & Ander, D. (2023). Situation, Background, Assessment, Recommendation (SBAR) Education for Health Care Students: Assessment of a Training Program. MedEdPORTAL, 11293. https://doi.org/10.15766/mep_2374-8265.11293
Dawood, S. B. (2021). Effectiveness of the Educational Program Concerning Nurse- Midwives SBAR Tool Communication on Maternal Health Documentation at Maternal wards in Baghdad Maternity Hospitals. Scholars Journal of Applied Medical Sciences, 9(6), 851–903. https://doi.org/10.36347/sjams.2021.v09i06.015
Etemadifar, S., Sedighi, Z., Sedehi, M., & Masoudi, R. (2021). The Effect of Situation, Background, Assessment, Recommendation‑Based Safety Program on Patient Safety Culture in Intensive Care Unit Nurses. Journal of Education and Health Promotion, 10.
Forde, M. F., Coffey, A., & Hegarty, J. (2018). The Factors to be Considered when Evaluating Bedside Handover. Journal of Nursing Management, 26(7), 757–768. https://doi.org/10.1111/jonm.12598
Hadi, M., Ariyanti, T., & Anwar, S. (2020). The Application of The Situation, Background, Assessment, Recommendation (SBAR) Method in Nurse Handover Between Shifts in the Hospital. Indonesian Nursing Journal of Education and Clinic (INJEC), 6(1), 72. https://doi.org/10.24990/injec.v6i1.406
Hapsari, M. K., Rivai, F., Thamrin, Y., Pasinringi, S. A., Irwandy, I., & Hamzah, H. (2022). Analysis of the Implementation of Effective Communication on Interprofessional Collaboration in the Inpatient Installation of Hasanuddin University Hospital. Journal of Asian Multicultural Research for Medical and Health Science Study, 3(1), 23–35. https://doi.org/10.47616/jamrmhss.v3i1.234
Haryono, M. H., Nursalam, N., & Hasinudin, M. (2019). Developing SBAR Effective Communication Instrument in Emergency Handover at Emergency Department of Hajj Hospital in Surabaya. Indian Journal of Public Health Research & Development, 10(10), 688. https://doi.org/10.5958/0976-5506.2019.02893.6
Lane-Fall, M. B., Pascual, J. L., Peifer, H. G., Di Taranti, L. J., Collard, M. L., Jablonski, J., Gutsche, J. T., Halpern, S. D., Barg, F. K., & Fleisher, L. A. (2020). A Partially Structured Postoperative Handoff Protocol Improves Communication in 2 Mixed Surgical Intensive Care Units: Findings From the Handoffs and Transitions in Critical Care (HATRICC) Prospective Cohort Study. Annals of Surgery, 271(3), 484–493. https://doi.org/10.1097/SLA.0000000000003137
Lee, K. R., & Kim, E. J. (2020). Relationship between Interprofessional Communication and Team Task Performance. Clinical Simulation in Nursing, 43, 44–50. https://doi.org/10.1016/j.ecns.2020.02.002
Lippke, S., Wienert, J., Keller, F. M., Derksen, C., Welp, A., Kötting, L., Hofreuter-Gätgens, K., Müller, H., Louwen, F., Weigand, M., Ernst, K., Kraft, K., Reister, F., Polasik, A., Huener nee Seemann, B., Jennewein, L., Scholz, C., & Hannawa, A. (2019). Communication and Patient Safety in Gynecology and Obstetrics—Study Protocol of an Intervention Study. BMC Health Services Research, 19(1), 908. https://doi.org/10.1186/s12913-019-4579-y
Magnezi, R., Gazit, I., Bass, A., & Tal, O. (2021). Developing a New Flexible Tool for Handover. International Journal for Quality in Health Care, 33(1), mzab022. https://doi.org/10.1093/intqhc/mzab022
Malfait, S., Eeckloo, K., Van Biesen, W., & Van Hecke, A. (2019). Barriers and Facilitators for the Use of Nursing Bedside Handovers: Implications for Evidence‐Based Practice. Worldviews on Evidence-Based Nursing, 16(4), 289–298. https://doi.org/10.1111/wvn.12386
Mardiana, S. S., Kristina, T. N., & Sulisno, M. (2019). Penerapan Komunikasi SBAR Untuk Meningkatkan Kemampuan Perawat Dalam Berkomunikasi Dengan Dokter. Jurnal Ilmu Keperawatan dan Kebidanan, 10(2), 273. https://doi.org/10.26751/jikk.v10i2.487
McElroy, T., Swartz, E. N., Hassani, K., Waibel, S., Tuff, Y., Marshall, C., Chan, R., Wensley, D., & O’Donnell, M. (2019). Implementation study of a 5-component pediatric early warning system (PEWS) in an emergency department in British Columbia, Canada, to inform provincial scale up. BMC Emergency Medicine, 19(1), 74. https://doi.org/10.1186/s12873-019-0287-5
Murray, M. (2021). The impact of interprofessional simulation on readiness for interprofessional learning in health professions students. Teaching and Learning in Nursing, 16(3), 199–204. https://doi.org/10.1016/j.teln.2021.03.004
O’Neill, S. M., Clyne, B., Bell, M., Casey, A., Leen, B., Smith, S. M., Ryan, M., & O’Neill, M. (2021). Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. BMC Emergency Medicine, 21(1), 15. https://doi.org/10.1186/s12873-021-00403-9
Pilcher, L., Kurian, M., MacArthur, C., Singh, S., & Manaseki-Holland, S. (2022). Obstetric shift-to-shift handover in Kerala, India: A cross-sectional mixed method study. PLOS ONE, 17(5), e0268239. https://doi.org/10.1371/journal.pone.0268239
Potts, L., Ryan, C., Diegel-Vacek, L., & Murchek, A. (2018). Improving Patient Flow From the Emergency Department Utilizing a Standardized Electronic Nursing Handoff Process. JONA: The Journal of Nursing Administration, 48(9), 432–436. https://doi.org/10.1097/NNA.0000000000000645
Rickard, F., Lu, F., Gustafsson, L., MacArthur, C., Cummins, C., Coker, I., Wilson, A., Mane, K., Manneh, K., & Manaseki-Holland, S. (2022). Clinical handover communication at maternity shift changes and women’s safety in Banjul, the Gambia: A mixed-methods study. BMC Pregnancy and Childbirth, 22(1), 784. https://doi.org/10.1186/s12884-022-05052-9
Sembiring, M. C., Lestari Ramadhani Nasution, S., & Girsang, E. (2022). The Effect Of Sbar Communication On Nurse Attitude In Increasing Patient Safety In Krmt Wongsonegoro Hospital, Semarang. International Journal of Health and Pharmaceutical (IJHP), 2(4), 680–683. https://doi.org/10.51601/ijhp.v2i4.91
Shahid, S., & Thomas, S. (2018). Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review. Safety in Health, 4(1), 7. https://doi.org/10.1186/s40886-018-0073-1
Sharp, L., Dahlén, C., & Bergenmar, M. (2019). Observations of nursing staff compliance to a checklist for person‐centred handovers – a quality improvement project. Scandinavian Journal of Caring Sciences, 33(4), 892–901. https://doi.org/10.1111/scs.12686
Uhm, J.-Y., Lim, E. Y., & Hyeong, J. (2018). The impact of a standardized inter-department handover on nurses’ perceptions and performance in Republic of Korea. Journal of Nursing Management, 26(8), 933–944. https://doi.org/10.1111/jonm.12608
Usher, R., Cronin, S. N., & York, N. L. (2018). Evaluating the Influence of a Standardized Bedside Handoff Process in a Medical–Surgical Unit. The Journal of Continuing Education in Nursing, 49(4), 157–163. https://doi.org/10.3928/00220124-20180320-05
Wang, L., Ma, Y.-J., Chen, X.-T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10, 1029573. https://doi.org/10.3389/fpubh.2022.1029573
Wang, X., He, M., & Feng, Y. (2021). Handover Patterns in the PACU: A Review of the Literature. Journal of PeriAnesthesia Nursing, 36(2), 136–141. https://doi.org/10.1016/j.jopan.2020.05.005
Yeh, V. J.-H., Sherwood, G., Durham, C. F., Kardong-Edgren, S., Schwartz, T. A., & Beeber, L. S. (2019). Designing and implementing asynchronous online deliberate practice to develop interprofessional communication competency. Nurse Education in Practice, 35, 21–26. https://doi.org/10.1016/j.nepr.2018.12.011
